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Biomedical subjects

F Burny

Publications and source records attributed to F Burny.

At least 19 recordsLinked to original sources

Vascularized bone transfer for tibial pseudarthrosis. Part II: Vascularized bone and muscle transfers. Exclusive free fibular bone graft.

The techniques of vascularized transfer of a bone segment, or of revascularization of a conventional bone autograft by a pedicle or a microsurgical muscular flap represent one of the most significant advances made during the last years for the treatment of large bone defects of the tibia with associated skin injury. The authors present their experience with 16 cases, including 5 microsurgical transfers.

Adult

External minifixation for treatment of closed fractures of the metacarpal bones.

External minifixators were used in the treatment of 63 closed diaphyseal metacarpal bone fractures. A simple half-frame configuration was applied in all the cases. Open reduction was performed in 26%. The mean duration of external fixation was 30 days. There were no cases of nonunion. Anatomical reduction was obtained in 86.6% of the cases. There were no cases of reflex sympathetic dystrophy. The general functional results were very good or good in 96.6%. Open reduction did not significantly alter the final results. External minifixation is usually accepted as a treatment of open metacarpal fractures. Because of the excellent results obtained in our series, we believe that the indications of external minifixation could be enlarged to closed metacarpal bone fractures.

Adolescent

Treatment of forearm fractures by Hoffman external fixation. A study of 93 patients.

Ninety-three patients with acute fractures of the diaphysis of one or both bones of the forearm were treated by a Hoffmann external fixator, using a half-frame configuration. Whenever possible, closed methods of reduction were used. The versatility of the Hoffmann external fixator allows multiple attempts and possible secondary resumption of the reduction. The half-frame configuration is stable enough, allowing the restoration and maintenance of the precise anatomy of the forearm bones and early active postoperative motion. The median length of retention of the external fixator was 13 weeks. Because of the elastic type of fixation, a solid periosteal callus was usually obtained. Non-union occurred in 8.5% of the patients. One refracture at the former fracture site was observed.

Adolescent

Treatment of mandibular fractures by external fixation.

This series encompasses thirteen fractures of the mandible treated by external fixation. The indications were five fractures of edentulous mandible, four fractures through missile wounding, and four fractures without soft tissue lesion treated in Africa. Twelve patients were found to show good or excellent results. In our indications, this method is a successful approach to the treatment of the fractured jaw.

Adult

Arthroscopic treatment of posttraumatic chondromalacia patellae.

An arthroscopic procedure of excision of damaged cartilage and drilling the subchondral bone plate for treatment of chondromalacia patellae is described. Satisfactory results and absence of major complications are reported in a preliminary, short-term series of 24 cases of symptomatic posttraumatic chondromalacia patellae, with a mean follow up of 12 months.

Activities of Daily Living

Single stage reconstruction of a large tibial defect using a free vascularised osteomyocutaneous ulnar transfer.

We present the case of a young man with 13 cm of bone and soft-tissue loss in the tibia and a severe traction injury of the brachial plexus. A free vascularised composite transfer of the bone and soft tissues of the ulnar side of the forearm was undertaken to reconstruct the defect. Bony union was achieved after a year and was followed by complete functional recovery of the lower limb.

Adult

[Revascularized bone grafts. Technics, indications and results].

The development of microvascular surgery has allowed the transfer of revascularized bone grafts. The surgical techniques of the most useful transfers are explained. The advantages, disadvantages and indications of these procedures, as compared with the other techniques of bone reconstruction, are discussed.

Adolescent

[Osteosynthesis of the clavicle using an external fixator].

Twenty-four fractures or nonunions of the clavicle were treated by a Hoffmann external fixator, for selected indications. No vascular or pleural complications were observed. All clavicles healed, after a mean duration of 52 days.

Adolescent

[Free musculo-osseous flaps in maxillofacial surgery].

Development of microsurgery has involved the use of revascularized bone grafts in maxillo-facial surgery. They are essentially indicated in rebuilding of complex tissues lost including bone. Their utility is well know in maxillofacial surgery, cervico-facial cancerology, ballistics trauma and in the cure of some mandibular osteoradionecrosis. Only scapular and iliac autogenous bone transplants were used by the authors. Following their short experience, they preferred the pediculated iliac transplants on the deep circumflex vessels more easy to handle and more secure. They brought some modifications in the graft technics in order to decrease the functional and the esthetic damages at the donor site: the incisions were parallel to the iliac crest an to the crural arch. The transplant respected the integrity of the antero-superior-iliac-spine and the crural arch. At the receiving site the muscle was left denuded in the oral cavity. The reepithelialization was observed in a short time.

Adult

External fixation of the clavicle for fracture or non-union in adults.

A technique of osteosynthesis of the clavicle with Hoffmann external fixation was used to treat twenty patients for selected indications, including an open fracture, inability of a patient to tolerate prolonged conservative treatment, or a painful non-union. No vascular or pleural complication was observed. The average time that the external fixator was retained was fifty-one days. All of the clavicles united well. Mobility of the shoulder returned to normal in all patients.

Clavicle